Provider Demographics
NPI:1356303531
Name:FURTADO, JOSEPH G (NP)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:G
Last Name:FURTADO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PERWAL ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1928
Mailing Address - Country:US
Mailing Address - Phone:781-915-9555
Mailing Address - Fax:781-762-4218
Practice Address - Street 1:30 PERWAL ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1928
Practice Address - Country:US
Practice Address - Phone:781-915-9555
Practice Address - Fax:781-762-4218
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA194243363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner